NAMS MENOPAUSE CERTIFICATION ACTUAL
EXAM NEWEST (2025/2026) VERSION WITH ALL 300
COMPLETE TESTED QUESTIONS WITH CORRECT
Page | 1
DETAILED AND VERIFIED ANSWERS|
GURANTEED PASS| TOP RATED A+.
NAMS MENOPAUSE
Pass the NAMS Menopause exam 2025/2026 with confidence. This exam
resource features questions in areas like: menopause, perimenopause, aging,
and women’s health treatments. It is best suited for students in healthcare
providing specializing in midlife and menopausal care.
The period of endrocrinologic, somatic, and transitory psychologic
changes that occur around the time of menopause. ...... ANSWER
.......Climacteric phase
LMP before age 45 ...... ANSWER .......Early menopause
LMP after age 54 ...... ANSWER .......Late menopause
Menopause that occurs before age 40 ...... ANSWER .......Primary
ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles.
...... ANSWER .......Early menopause transition (stage -2)
, 60 or more consecutive days of amenorrhea ...... ANSWER .......Late
menopause transition (stage -1)
Page | 2
Explains why some perimenopausal women have elevated estrogen level
sometimes...In the early menopause transition, elevated FSH levels are
adequate to recruit a second follicle which results in a follicular phase-like
rise in estradiol secretion superimposed on the mid-to-late luteal phase of
the ongoing ovulatory cycle. ...... ANSWER .......Luteal out of phase
event (LOOP)
Obese women are more likely to have anovulatory cycles with high
estradiol levels. They are also more likely to have lower premenopause
yet higher postmenopause estradiol levels compared with women of
normal weight. (why they are at higher risk of endometrial cancer) ......
ANSWER .......Obese women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and
hispanic women. ...... ANSWER .......Chinese and Japanese women
late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms. ...... ANSWER .......stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases.
VMS predominate. ...... ANSWER .......Stages +1a, +1b, +1c
Endocrine labs after menopause ...... ANSWER .......Elevated FSH,
LH
, These hormones work during reproductive years to not deplete follicle
pool too quickly. ...... ANSWER .......AMH, inhibin B
Page | 3
Menstrual cycle variable, persistent >7 day difference between difference
in length of consecutive cycles. ...... ANSWER .......Phases during
menopause transition and PMS symptoms
How to respond if a patient requests FSH lab? ...... ANSWER .......
many pitfalls, variable depending on the day of the cycle you draw the
lab, normal or low FSH is not helpful.
AMH ...... ANSWER .......The potentially superior marker of
menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland
that are enzymatically converted to active androgens or estrogens in
peripheral tissues. ...... ANSWER .......DHEA
(dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder ...... ANSWER
.......Location of estrogen receptors
maintain blood flow, the collagen, and HA within the epithelial surfaces.
Supports microbiome which supports acidity of vagina and protects tissue
from pathogens. ...... ANSWER .......Effects of estrogen on tissue
, Thinning, loss of elasticity, loss or absence or rugae. ...... ANSWER
.......Vaginal changes with menopause
Page | 4
vagina narrows, urethra moves closer to the introitus. ...... ANSWER
.......Vagina and urethra in menopause
Vaginal estrogen and urinary incontinence: what type does it help with?
...... ANSWER .......Stress urinary incontinence
Minoxidil, spironolactone, finasteride, estrogen therapy ...... ANSWER
.......Treatment for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin
low.
Late reporoductive years -3b and -3a. What happens with menstrual
cycles, FSH, AMH, AFC, inhibin? ...... ANSWER ....... -3a: subtle
menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if you check it?
and why? ...... ANSWER ....... Cycle day #3. Elevated estradiol can
suppress FSH giving a falsely normal FSH level.
It is influenced by exogenous hormones. Lower in hormonal
contraception users, but increases after d/cing. ...... ANSWER
.......AMH
EXAM NEWEST (2025/2026) VERSION WITH ALL 300
COMPLETE TESTED QUESTIONS WITH CORRECT
Page | 1
DETAILED AND VERIFIED ANSWERS|
GURANTEED PASS| TOP RATED A+.
NAMS MENOPAUSE
Pass the NAMS Menopause exam 2025/2026 with confidence. This exam
resource features questions in areas like: menopause, perimenopause, aging,
and women’s health treatments. It is best suited for students in healthcare
providing specializing in midlife and menopausal care.
The period of endrocrinologic, somatic, and transitory psychologic
changes that occur around the time of menopause. ...... ANSWER
.......Climacteric phase
LMP before age 45 ...... ANSWER .......Early menopause
LMP after age 54 ...... ANSWER .......Late menopause
Menopause that occurs before age 40 ...... ANSWER .......Primary
ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles.
...... ANSWER .......Early menopause transition (stage -2)
, 60 or more consecutive days of amenorrhea ...... ANSWER .......Late
menopause transition (stage -1)
Page | 2
Explains why some perimenopausal women have elevated estrogen level
sometimes...In the early menopause transition, elevated FSH levels are
adequate to recruit a second follicle which results in a follicular phase-like
rise in estradiol secretion superimposed on the mid-to-late luteal phase of
the ongoing ovulatory cycle. ...... ANSWER .......Luteal out of phase
event (LOOP)
Obese women are more likely to have anovulatory cycles with high
estradiol levels. They are also more likely to have lower premenopause
yet higher postmenopause estradiol levels compared with women of
normal weight. (why they are at higher risk of endometrial cancer) ......
ANSWER .......Obese women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and
hispanic women. ...... ANSWER .......Chinese and Japanese women
late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms. ...... ANSWER .......stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases.
VMS predominate. ...... ANSWER .......Stages +1a, +1b, +1c
Endocrine labs after menopause ...... ANSWER .......Elevated FSH,
LH
, These hormones work during reproductive years to not deplete follicle
pool too quickly. ...... ANSWER .......AMH, inhibin B
Page | 3
Menstrual cycle variable, persistent >7 day difference between difference
in length of consecutive cycles. ...... ANSWER .......Phases during
menopause transition and PMS symptoms
How to respond if a patient requests FSH lab? ...... ANSWER .......
many pitfalls, variable depending on the day of the cycle you draw the
lab, normal or low FSH is not helpful.
AMH ...... ANSWER .......The potentially superior marker of
menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland
that are enzymatically converted to active androgens or estrogens in
peripheral tissues. ...... ANSWER .......DHEA
(dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder ...... ANSWER
.......Location of estrogen receptors
maintain blood flow, the collagen, and HA within the epithelial surfaces.
Supports microbiome which supports acidity of vagina and protects tissue
from pathogens. ...... ANSWER .......Effects of estrogen on tissue
, Thinning, loss of elasticity, loss or absence or rugae. ...... ANSWER
.......Vaginal changes with menopause
Page | 4
vagina narrows, urethra moves closer to the introitus. ...... ANSWER
.......Vagina and urethra in menopause
Vaginal estrogen and urinary incontinence: what type does it help with?
...... ANSWER .......Stress urinary incontinence
Minoxidil, spironolactone, finasteride, estrogen therapy ...... ANSWER
.......Treatment for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin
low.
Late reporoductive years -3b and -3a. What happens with menstrual
cycles, FSH, AMH, AFC, inhibin? ...... ANSWER ....... -3a: subtle
menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if you check it?
and why? ...... ANSWER ....... Cycle day #3. Elevated estradiol can
suppress FSH giving a falsely normal FSH level.
It is influenced by exogenous hormones. Lower in hormonal
contraception users, but increases after d/cing. ...... ANSWER
.......AMH
